Pulaski Clinic is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Pulaski, Illinois. The current practice location for Pulaski Clinic is 100 Market St, Pulaski, Illinois. For appointments, you can reach them via phone at
(618) 342-6767. The mailing address for Pulaski Clinic is Po Box 3008, Carbondale, Illinois and phone number is (618) 457-0450.
Pulaski Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1063404523. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(618) 342-6767.
Primary Care Clinic Profile
| Full Name | Pulaski Clinic |
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| Speciality | Clinic/Center |
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| Location | 100 Market St, Pulaski, Illinois |
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| Authorized Official Name and Position | Frederick L Bernstein (CEO) |
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| Authorized Official Contact | 6184570450 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Pulaski Clinic
Po Box 3008
Carbondale
IL 62902-3008
Ph: (618) 457-0450 | Pulaski Clinic
100 Market St
Pulaski
IL 62976
Ph: (618) 342-6767 |
NPI Details:
| NPI Number | 1063404523 |
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| Provider Enumeration Date | 08/19/2005 |
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| Last Update Date | 09/01/2010 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 0749194702 |
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| Medicare Enrollment ID | O20101014000825 |
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Medical Identifiers
Medical identifiers for Pulaski Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063404523 | NPI | - | NPPES |
| 1616948 | Other | IL | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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